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Idaho rates for HCPCS J0702

Injection Betamethasone Acetate And Betamethasone Sodium Phosphate Per 3 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $56.67 / $130.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $8.34 / $40.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $6.96 / $6.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.93 / $9.22 / $34.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $8.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.35 / $8.35 / $8.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $9.74